Mental diseases: a public health problemMay, James Vance
Science
Mental diseases: a public health problem
May, James Vance
Mental health services; Psychology, Pathological
Statistical reports from American institutions show that comparatively
few cases of Huntington's chorea are committed. In 49,640 first
admissions to the New York state hospitals only forty-eight, or .09 per
cent, were diagnosed as Huntington's chorea during a period of eight
years. The admission rate to the Massachusetts hospitals during 1919
was exactly the same. In twenty-one hospitals in fourteen other states
twenty-four cases (.13 per cent) in 18,336 admissions were reported as
Huntington's chorea. There were only seventy-five cases (.1 per cent)
in 70,987 admissions to forty-eight hospitals in sixteen different
states.
_Psychoses with Brain Tumor_
Brain tumors are more common perhaps than is generally understood.
Cushing[193] shows that they were found in fifty-five, or 1.7 per cent,
of 3,150 autopsies at the Johns Hopkins Hospital. He refers to Siedel,
who observed them in 1.25 per cent of his cases in Munich and states
that Blackburn found them in about two per cent of 1,642 autopsies at
the St. Elizabeths Hospital in Washington. He also quotes Bruns as
saying that two per cent of all neurological cases show intracranial
growths. In the first twenty-five hundred surgical conditions admitted
to the Peter Bent Brigham Hospital in Boston eight per cent were
diagnosed as brain tumor. Cushing found that 66.6 per cent of 130
carefully studied growths were gliomata. Nearly four per cent were
endotheliomas. In another series of seventy cases he found twenty-seven
gliomas (38.5 per cent), seventeen adenomas (twenty-four per cent),
seven endotheliomas (ten per cent), five interpeduncular and mixed
growths (seven per cent), and other forms in smaller percentages. Many
of the endotheliomas have undoubtedly been included in the past with
the sarcomas. This may also be said of gliomas.
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